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Individual

MR. ANDREW PEREDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4631 SW 156TH PL, MIAMI, FL 33185-5246
(305) 431-1917
Mailing address
4631 SW 156TH PL, MIAMI, FL 33185-5246
(305) 431-1917

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9109728
FL

Other

Enumeration date
09/20/2016
Last updated
09/20/2016
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